Kenneth R Buccino, MD | |
100 E. Main Street, Suite C, Medford, OR 97501-6041 | |
(541) 789-4728 | |
(541) 789-4765 |
Full Name | Kenneth R Buccino |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 30 Years |
Location | 100 E. Main Street, Suite C, Medford, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366407934 | NPI | - | NPPES |
151255 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | MD21074 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Asante Rogue Regional Medical Center | Medford, OR | Hospital |
Asante Ashland Community Hospital | Ashland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Asante | 0547177321 | 91 |
Asante Ashland Community Hospital Llc | 7012286859 | 37 |
Entity Name | Asante |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 |
Entity Name | Asante Three Rivers Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367 |
Entity Name | Asante Ashland Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620 |
Mailing Address | Practice Location Address |
---|---|
Kenneth R Buccino, MD 100 E. Main Street, Suite C, Medford, OR 97501-6041 Ph: (541) 789-4728 | Kenneth R Buccino, MD 100 E. Main Street, Suite C, Medford, OR 97501-6041 Ph: (541) 789-4728 |
James Benton, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 781 Black Oak Dr, Suite 102, Medford, OR 97504 Phone: 541-789-4236 Fax: 541-789-5965 | |
Ashley R Laird, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 Fax: 310-782-1763 | |
Dr. Peter Canning, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 East Barnett Road, Rm 1c026, Medford, OR 97504 Phone: 541-789-7000 | |
Mrs. Alicia L Welder, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-789-7000 | |
Jason Cassidy Herfindahl, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-880-8460 | |
Dr. David Ryland Thornberry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 541-732-6440 | |
Dr. Douglas S Shields, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Crater Lake Ave, Medford, OR 97504 Phone: 503-215-4323 Fax: 503-215-0297 |